Evidence map›Paper›PMID 28000135›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Robotic Total Mesorectal Excision for Rectal Cancer: A Series of 392 Cases and Mid-Term Outcomes from A Single Center in China.

Bo Tang, Chao Zhang, Chuan Li, Jun Chen, Huaxing Luo, Dongzhu Zeng, Peiwu Yu

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Observational
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  13. Surgical specimen extractionWorld journal of gastroenterology · 2018
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bo TangGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China.
Chao ZhangGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China.
Chuan LiGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China.
Jun ChenGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China.
Huaxing LuoGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China.
Dongzhu ZengGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China. dongzhuzeng12345@sina.com.
Peiwu YuGeneral Surgery Center of PLA, Southwest Hospital, the Third Military Medical University, Chongqing, China. tangtbo@sina.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic total mesorectal excision (RTME) for rectal cancer has recently been increasingly used; technical feasibility and short-term outcomes have been reported in detail. Few studies have presented clinical efficacy and mid-term outcomes for a large sample size. The aim of this study is to present oncologic efficacy and mid-term outcomes of robotic total mesorectal excision for rectal cancer and to provide our experiences regarding these surgically challenging issues.

methodsThree hundred ninety-two patients received RTME between March 2010 and June 2015. Patient characteristics, perioperative clinical results, complications, pathologic details, recurrence, and mid-term outcomes were evaluated.

resultsDuration of surgery ranged from 80 to 388 min (median 224 min). There were no deaths during surgery and no anesthesiology complications in our series. The conversion rate was 1.1% (4/392). The postoperative complication rate was 10.2%; anastomosis leakage was the most common complication with an incidence of 4.1% (16/392). The median blood loss was 67.5±34.3 (20-600). The mean postoperative hospital stay was 12.1±6.1 (6-64). Circumferential resection margins were negative in 387 out of 392 cases (98.7%). The mean number of harvested lymph nodes was 14.6. Two deaths occurred during 30-day mortality. At a mean follow-up of 24 months (range 3-66 months), there were 35 deaths.

conclusionOur results suggest that RTME is technically feasible for rectal cancer and can yield good short- and mid-term oncologic outcomes.

Indexed as

Digestive System Surgical ProceduresRobotic Surgical ProceduresAdultAgedAged, 80 and overChinaFeasibility StudiesFemaleHumansLaparoscopyMaleMesenteryMiddle AgedRectal NeoplasmsTreatment OutcomeYoung AdultCancerOutcomesRectalRobot

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.